Individual
JESSICA N YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER, WORCESTER, MA 01655-0002
(508) 334-1269
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
673582
NY
163W00000X
Registered Nurse
RN2292924
MA
363L00000X
Nurse Practitioner
Primary
RN2292924
MA
363LF0000X
Family Nurse Practitioner
RN2292924
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110104789A
—
MA
Enumeration date
07/07/2014
Last updated
03/01/2016
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